A Stage I pressure ulcer is an observable pressure related alteration of intact skin whose indicators as compared to the adjacent or opposite area on the body may include changes in one or more of the following: -Skintemperature(warmthorcoolness),tissueconsistency(firmorboggyfeel) and/or sensation (pain, itching). Theulcerappearsasadefinedareaofpersistentrednessinlightlypigmentedskin, whereas in darker skin tones, the ulcer may appear with persistent red, blue, or purple hues.The beginning stage of a pressure sore has the following characteristics:• The skin is not broken.•Theskinappearsredonpeoplewithlighterskincolor,andtheskindoesn’tbriefly lighten (blanch) when touched.•Onpeoplewithdarkerskin,theskinmayshowdiscoloration,anditdoesn’tblanch when touched.•Thesitemaybetender,painful,firm,soft,warmorcoolcomparedwiththesurroundingskin.

At Stage II:•Theouterlayerofskin(epidermis)andpartoftheunderlyinglayerofskin(dermis) is damaged or lost.•Thewoundmaybeshallowandpinkishorred.•Thewoundmaylooklikeafluid-filledblisterorarupturedblister.

At Stage III, the ulcer is a deep wound:•Thelossofskinusuallyexposessomefat.•Theulcerlookscrater-like.•Thebottomofthewoundmayhavesomeyellowishdeadtissue.•Thedamagemayextendbeyondtheprimarywoundbelowlayersofhealthyskin.

Stage III

Stage II

Stage I

All Wound Care Dressings are not made with natural rubber latex

Bedsores fall into one of four stages based on their severity. The National Pressure Ulcer Advisory Panel, a professional organization that promotes the prevention and treatment of pressure ulcers, defines each stage as follows:

Advanced Wound Care DressingsStaging Reference Guide

Unstageable

At Stage IV:•Theouterlayerofskin(epidermis andpartoftheunderlyinglayerof skin (dermis) is damaged or lost.•Thewoundmaybeshallowand pinkish or red.•Thewoundmaylooklikeafluid- filledblisterorarupturedblister.

At Unstageable: a pressure ulcers surface is covered with yellow, brown, black or dead tissue. It’s not possible to see how deep the wound is.

ADVANCED WOUND CARE DRESSING PRODUCT LINE

Product Reorder No.'s and Sizes

Wound Stages

(Pressure Ulcers)

CuraFoam™ Foam Dressing

3011 – 2″ × 2″ 3012 – 4″ × 4¼″3013 – 6″ × 6″

II, III, IV

DynaDerm™ Hydrocolloid

Dressing (Thin; Extra-Thin; Standard)

3014 – 2″ × 2″ (Thin) 3015 – 4″ × 4″ (Thin)3016 – 6″ × 6″ (Thin) 3017 – 6″ × 7″ (Sacral)3018 – 4″ × 4″ (Extra Thin)3019 – 6″ × 6″ (Extra Thin) 3020 – 4″ × 4″ (Standard Dressing)

II, III, IV

DynaLevin™ Waterproof Adhesive

Bordered Foam

3021 – 4″ × 4″ 3022 – 6″ × 6″ II, III, IV

Foam Flex™ Non-Adhesive

Waterproof Foam Dressing

3023 – 2″ × 2″3024 – 4″ × 4″ 3025 – 6″ × 6″

II, III, IV

DynaGinate™ Calcium Alginate

Dressing

3026 – 2″ × 2″ 3027 – 4¼″ × 4¼″3028 – 4″ × 8″ 3029 – 2g × 30cm

III, IV

DynaGinate AG™ Silver Calcium

Alginate

3030 – 2″ × 2″ 3031 – 4″ × 5″3032 – 4″ × 8″ 3033 – ¾″ × 12″

N/A

DynaGuard™ Waterproof Composite Dressing

3035 – 4″ × 4″ 3036 – 6″ × 6″ II, III, IV

DynaFoam™ Waterproof

Bordered Foam3037 – 4″ × 4″ 3038 – 6″ × 6″ II, III, IV

Petroleum Gauze Dressing

3039 – 3″ × 9″ 3040 – 3″ × 9″ II, III, IV

CuraFoam™ AG Silver Foam

Dressing

3046 – 2″ × 2″3047 – 4″ × 4″ 3048 – 6″ × 6″

III, IV

DynaFoam™ AG Bordered

Silver Foam Dressing

3049 – 4″ × 4″ 3050 – 6″ × 6″ III, IV

SiliGentle™ Silicone Foam

Dressingand Silicone

Bordered Foam Dressing

Non-Bordered3055 – 2″ × 2″3056 – 4″ × 4″3057 – 6″ × 6″Bordered 3058 – 2″ × 2″ 3059 – 4″ × 4″3060 – 6″ × 6″ 3061 – Heel 4″ × 4″3062 – Sacral 6″ × 6″ 3063 – Lg Sacral 6″ × 6″

II, III, IV

DynaGel™ Hydrogel

Impregnated Gauze Dressing

3064 – 2″ × 2″ 3065 – 4″ × 4″ II, III, IV

Common sites of pressure sores:For people who use a wheelchair, pressure sores often occur on skin over the following sites:• Tailbone or buttocks• Shoulder blades and spine•BacksofarmsandlegswheretheyrestagainstthechairForpeoplewhoareconfinedtoabed,commonsites include the following:•Backorsidesofthehead•Rimoftheears• Shoulders or shoulder blades• Hip, lower back or tailbone• Heels, ankles and skin behind the knees

Stage IV

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Advanced Wound Care DressingsStaging Reference Guide